| NPI | 1639279680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS POWELL FISHER Optician Owner 804-861-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101001155) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-05-16 |